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Biophosphonates good or bad?

By nathji Sunday, December 06, 2009

Dear Members,

I thought it was about time that we gathered together to express what we have experienced with biophosphonates, as these are the only drugs for treating osteoporosis all over the world -- and they have recently drawn much fire. Yet there are some who claim to have benefited from them. Almost everyone is afraid to give them up -- because they are what the doctor prescribed!

My knowledge about them is very little. I took Actonel 35 mg once per week for about 13 months because I was diagnosed with osteopenia. And then I gave it up -- primarily because I just "forgot" so many weekly doses that I thought it was a lost battle! I didnt get a Dexa scan done after that.

All I can say is that during the days that I was taking Actonel I felt myself becoming weaker and weaker -- I became very prone to repeated bouts of influenza. My stomach was bad most of the time. And a feeling of ache and acute fatigue developed in my left leg which already had a compromised nerve from my slipped disc. 

After I gave up Actonel the ache in my leg disappeared, I stopped getting influenza, and my stomach and head became better. I dont know what it did for the oeteopenia.

I am now taking Vitamin D in high doses and moving about as much as I can, and rarely think in terms of biophosphonates. But I know of people who have taken Actonel and have had no bad symptoms from it and whose osteoporosis has benefited from it.

It would be most interesting to hear what so many learned folk here have to say on the subject. It is about time somebody cleared up the confusion so that we would either go ahead and take the biophosphonates without worry or else give them up without fear of the consequences.

Thanking you in anticipation,
Yours,
Priya

SOS on Vitamin D
Pam Flores, Health Guide
12/ 6/09 4:42pm

Hi Priya, great question!! All medications have both risks and benefits. The risks of these drugs have been widely reported and I don't know of anyone who can't list all the reasons one may not want to take them, but we do know one thing, and that is they do slow bone loss and in turn reduce fractures. I talked to many people who say they've done well with these drugs and didn't suffer any side effects and then you'll undoubtedly hear from those that had many troublesome side effects; so what is the answer to this?

 

We do have other drugs available for osteoporosis that you may choose, but I realize they may not be available in your country so you are in a unique situation. But here and in most other countries we have other options if you choose not to take a bisphosphonate.

 

Each of us will have to decide for ourselves, how we want to treat bone loss and I would imagine we'll all have differing reasons for the choices we make.

 

Here's an excellent podcast from Dr. Steven Harris from a presentation he made at the North American Menopause Society, on "Update on Current and Future Osteoporosis Treatments-on Oct. 08, 2009".

 

Click on this link, and then on the title above at FORE, to hear the full presentation on this topic about osteoporosis, which include the risk and the benefits seen with these drugs.

 

I hope this answers your question and gives you some ideas on this topic and the on-going evaluation of these drugs by many prominent clinicians.

 

Thanks for sharing your question, and I hope some of our members will give you their opinions as well.

 

12/ 8/09 10:52am

Dear Pam,

As always your responses are perfect and to the point, with a balanced view of both sides of the picture-- and as always they give some new and important medical link to study and ponder upon.

 

You are a real asset to OsteoporosisConnection.com -- and it may be because of  people like yourself that this site enjoys wide popularity in the world! You are one expert who is always there -- for everyone, ever ready to answer questions and give advice!! You make it your mission in life to be there for each one of us-- regardless of the inconvenience it may cause you and the many hours and hours that you spend in painstakingly digging up more and more sites and links, always from such reliable sources!!

 

Thank you so much!!

Yours,

Priya

Anonymous
janq
1/ 2/10 4:18pm

I have been taking Actonel for 5 years and my dexa scans have shown improvement in my spine and no change in my hip.  However, I just received notice from my insurance company that they will no longer cover it in my prescription plan.  They will cover Alendronate Sodium or Boniva.  Now I have to decide which way to go.  With Boniva the "wait time" is 60 minutes as compared with 30 minutes with Actonel and Fosamax; or Boniva taken as an injection are my "choices".  I have kidney disease and while it is not in the <35 egfr range I really don't want to do anything that compromises my kidney function.  It was at 48 and has improved through diet.  I will talk with my doctor in a few weeks, but will welcome any suggestions.  Thanks in advance.

Pam Flores, Health Guide
1/ 2/10 5:48pm

Hi Janq, welcome to the community.  Boy I'm sorry to hear about your insurance change.  We are hearing more and more stories about osteo drugs that won't be covered any more.  Is staying upright, or sitting for 60 minutes without food a major problem for you?  I know it is for some but wanted to double check.  If it is, then your options are generic Fosamax and Boniva (oral or injected).  I'm glad you are keeping track of your creatinine clearance numbers since this is very important, plus drinking a lot of water.

 

I would call your local pharmacy and ask if they still have weekly Boniva tablets available.  They used to have daily and weekly doses of Boniva before they came out with the monthly dose.  Maybe they still have it and we just don't hear about it.  If they do, then the waiting time would be 30 minutes like the weekly Actonel.

 

If you are worried about trying the injectable Boniva due to your kidney problems, you could ask what specifically would the injection do if you hydrated real well before, during and after the injection.  Since you aren't at the <30 mark it may not be a problem, but, and this is real important, you don't want to jeopardize this number in any way, so be sure you get as much info as possible.

 

Let us know if you need anything else and good luck with your decision.

 

 

Anonymous
Janq
1/ 3/10 1:06pm

Pam, thank you for the information and advice re: Boniva and Fosamax.  I don't have an issue with the 60 minutes; just that I would need to change the day of the week since I leave the house early Sunday through Friday.  Since it would be only once a month it wouldn't be difficult to change. 

 

Thank you again.  I'm so happy that I found this site.

Janq

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By nathji— Last Modified: 12/19/10, First Published: 12/06/09